Finance/RCM (65)

While many are anticipating longer review periods and larger filing and documentation requirements, the question of what changes will happen at the FTC under the new presidential administration remains, says John Saran, a partner at Holland & Knight.

Forty percent of hospital revenue comes from the operating room, so backlogs have a huge impact on financials, says Rami Karjian, head of operating rooms business at LeanTaaS.

Adam Greene, attorney and partner at Davis Wright Tremaine, advises healthcare buyers on documentation for any potential red flags.

Calls are answered quickly, keeping patients engaged in the central scheduling system, says Yuriy Kotlyar, cofounder and CEO of American Health Connection.

The bottom line for insurance companies has been crunched, which affects providers as well, says Everett Wilson, a healthcare regulatory attorney and Miami office managing partner at Polsinelli Law Firm.

A fundamental point of star ratings is balancing the interest of patients with that of taxpayers, says Dr. Don Rucker, former ONC head and current chief strategy officer of 1upHealth.

Virtual AI agent Anna offers consumers a safe space to ask questions and make payments, says Dugan Winkie, head of Commercial Strategy at Cedar.

Maite Malet, director of investments and corporate development at Asabys Partners, discusses how the Barcelona-based venture firm will use its recent raise of €180 million ($200 million) to invest in healthcare solutions globally.

AKASA has found a return of $1.5 million in recovered additional revenue per each $1 billion of total patient revenue, says CEO and cofounder Malinka Walaliyadde.

Information is extracted in real time, speeding up the process to approve or to ensure medical necessity is met, says Dr. Traci Granston, VP of clinical strategy at Cohere Health.

Automated electronic PA process uses FHIR interoperability for greater efficiency, says Greg LeGrow, executive director of Payer Product Market Strategy at athenahealth and Mark Fleming, senior director of Product at Availity.

Cody Coonradt, CEO and founder of Billy, discusses how patients, advocates and insurance agents use the company's app, which displays hospital pricing data by location, to negotiate prices for medical procedures.